HMO Benefits Specialist coordinating between members, healthcare providers, and HMO teams. Responsible for processing availments, LOAs, and call handling for high-quality service delivery.
Responsibilities
The HMO Benefits Specialist serves as the key interface between members, healthcare providers, and the HMO teams.
The role is responsible for accurate processing of member availments, issuance of Letters of Authorization (LOAs), timely call handling, and efficient coordination of inquiries and cases to ensure high-quality service delivery.
Requirements
Must be willing to work hybrid in Ortigas
Must be willing to do occasional night shifts
Familiarity with medical indications for adjudication
Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
Willingness to conduct hospital visits
Proficient problem-solving abilities
Curious, results-driven, ownership mentality with growth mindset
Excellent verbal and written communications
Collaborative team player with the ability to adapt quickly in a fast-paced environment
Passion for innovation in healthcare
Benefits
comprehensive healthcare coverage for you and your dependent
paid time off from the start
mentorship, career development, and learning opportunities
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